Acute fatal pulmonary embolism during cyanoacrylate injection in gastric varices.
We report a case of massive pulmonary embolism during cyanoacrylate glue endoscopic injection in a patient with gastric varices from portal hypertension. A review of the literature and results in an animal model show the physiopathology and risk factors associated with this endoscopic procedure.
Marion-Audibert
A-M
AM
Service d'hépatogastroentérologie, hôpital de la Croix-Rousse, Lyon cedex 04, France. anne-marie.marion-audibert@chu-lyon.fr
Schoeffler
M
M
Wallet
F
F
Duperret
S
S
Mabrut
J-Y
JY
Bancel
B
B
Pere-Verge
D
D
Wander
L
L
Souquet
J-C
JC
D000208:Acute Disease; D003487:Cyanoacrylates / Q000008:administration & dosage / Q000009:adverse effects*; D004932:Esophageal and Gastric Varices / Q000628:therapy*; D017809:Fatal Outcome; D006801:Humans; D011655:Pulmonary Embolism / Q000139:chemically induced*; D015911:Sclerotherapy
D003487:Cyanoacrylates